DR. DEBASISH MRIDHA M.D. NPI 1851327159

Psychiatry & Neurology (Neurology) in Saginaw, MI

NPI 1851327159 Individual Male Years of Experience 31 Psychiatry & Neurology Neurology PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About DEBASISH MRIDHA

Debasish Mridha is a provider established in Saginaw, Michigan and his medical specialization is psychiatry & neurology (neurology) with more than 31 years of experience. The NPI number of Debasish Mridha is 1851327159 and was assigned on June 2006. The practitioner's primary taxonomy code is 2084N0400X with license number DM066728 (MI). The provider is registered as an individual and his NPI record was last updated one year ago.

Debasish Mridha is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Debasish Mridha is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Covenant Medical Center and Ascension St Mary's Hospital.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: dementia: cognitive assessment, depression screening, documentation of current medications in the medical record, engagement of patients through implementation of improvements in patient portal, e-prescribing, immunization registry reporting, implementation of medication management practice improvements, onc direct review attestation, patient-specific education, preventive care and screening: body mass index (bmi) screening and follow-up plan, provide patient access, security risk analysis, syndromic surveillance reporting, tobacco use, use of high-risk medications in the elderly and use of high-risk medications in the elderly. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1851327159

Provider NameDR. DEBASISH MRIDHA M.D.
Provider Location Address4705 TOWNE CTR SUITE 201 SAGINAW, MI 48604
Provider Mailing Address4705 TOWNE CTR SUITE 201 SAGINAW, MI 48604
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1991
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date06-25-2006
Last Update Date09-25-2020


Primary Taxonomy

Taxonomy Code2084N0400X
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationNeurology
License No.DM066728
License StateMI
Taxonomy DescriptionA Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Business Address

DR. DEBASISH MRIDHA M.D.
4705 TOWNE CTR
SUITE 201
SAGINAW, MI
ZIP 48604
Phone: (989) 799-2770
Fax: (989) 799-2737

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Mailing Address

DR. DEBASISH MRIDHA M.D.
4705 TOWNE CTR
SUITE 201
SAGINAW, MI
ZIP 48604
Phone: (989) 799-2770
Fax: (989) 799-2737



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID3577511005
PECOS Enrollment IDI20050111000509
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 339Measurement and recording of brain wave (EEG) activity, awake and asleep (HCPCS:95819)
  • 128Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • 110Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Dementia: Cognitive Assessment 100% 64
Percentage of patients, regardless of age, with a diagnosis of dementia for whom an assessment of cognition is performed and the results reviewed at least once within a 12-month period
Documentation of Current Medications in the Medical Record 99% 3268
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
e-Prescribing 61% 1877
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Patient-Specific Education 87% 1434
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 25% 1366
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Provide Patient Access 66% 1434
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified EHR technology.
Use of High-Risk Medications in the Elderly 3% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
673
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication
Use of High-Risk Medications in the Elderly 3% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
673
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Debasish Mridha is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
COVENANT MEDICAL CENTER1447 N HARRISON
SAGINAW, MI 48602
(989) 583-4000Acute Care Hospitals230070
ASCENSION ST MARY'S HOSPITAL800 S WASHINGTON AVENUE
SAGINAW, MI 48601
(989) 776-8000Acute Care Hospitals230077

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
104695041MEDICAID (05)MI

Other Providers at the same location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1306830963 NIKOLAI KINACHTCHOUK M.D.
Individual
Internal Medicine4705 TOWNE CTR SUITE 102
SAGINAW, MI 48604
(989) 790-2984
1760466346 JORGE PLASENCIA M.D.
Individual
Family Medicine4705 TOWNE CTR SUITE 202
SAGINAW, MI 48604
(989) 791-3401
1568630952JEFFREY R LEVIN MD PC
Organization
Psychiatry & Neurology (Neurology)4705 TOWNE CTR STE 302
SAGINAW, MI 48604
(989) 249-8001
1285806471JACOB C. NINAN MD PC
Organization
Internal Medicine (Hematology & Oncology)4705 TOWNE CTR SUITE 204
SAGINAW, MI 48604
(989) 799-6110
1134496292 JENNIFER RADEWAHN PA
Individual
Physician Assistant4705 TOWNE CTR STE 102
SAGINAW, MI 48604
(989) 790-2941
1124012786 LIOUDMILA KINACHTCHOUK M.D.
Individual
Internal Medicine4705 TOWNE CTR SUITE 102
SAGINAW, MI 48604
(989) 790-2984
1063739654ASCENSION ST. MARY'S HOSPITAL
Organization
Surgery (Trauma Surgery)4705 TOWNE CTR SUITE 104
SAGINAW, MI 48604
(989) 497-3157
1649597998ASCENSION ST. MARY'S HOSPITAL
Organization
Plastic Surgery4705 TOWNE CTR SUITE 104
SAGINAW, MI 48604
(989) 497-3157
1003004086MICHIGAN ADVANCED NEUROLOGY CENTER, PLLC
Organization
Psychiatry & Neurology (Neurology)4705 TOWNE CTR STE. 201
SAGINAW, MI 48604
(989) 799-2770
1982642898PLASENCIA FAMILY MEDICINE PLLC
Organization
Family Medicine4705 TOWNE CTR SUITE 202
SAGINAW, MI 48604
(989) 791-3401
1639263098DR. WILLIAM JOHN PITTAS D.O.
Individual
Surgery (Plastic and Reconstructive Surgery)4705 TOWNE CTR SUITE 104
SAGINAW, MI 48604
(989) 497-3157

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.